Jobs at PacificSource Health Plans

Lead and manage HR Business Partner and HR Specialist teams to align HR initiatives with business goals. Oversee workforce planning, employee relations, talent development, performance management, succession planning, compliance, HR projects, and process improvement using lean methods. Coach leaders, analyze HR data to inform decisions, manage budgets, and ensure confidentiality and HIPAA compliance. Participate in strategic committees and drive culture, engagement, and retention.

Lead risk adjustment data submission and analytics for regulatory compliance and revenue optimization. Maintain and build reports, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and collaborate with providers and technical teams to improve risk scores, HEDIS, and CMS-related outcomes.

Lead risk adjustment analytics and CMS data submissions to optimize HCC capture and HEDIS performance. Develop and maintain reports, validate data integrity, oversee vendors, support audits (RADV), mentor junior analysts, recommend process improvements, and coordinate with internal and provider partners to improve risk scores, compliance, and quality outcomes.

Lead and manage risk adjustment data submissions to CMS, optimize HCC capture and HEDIS performance, validate and reconcile data with vendors, develop reporting and forecasts, support audits (RADV), mentor analysts, and collaborate with providers and internal teams to improve processes, compliance, and revenue related to risk scores and quality metrics.

Lead risk-adjustment analytics and regulatory data submissions (CMS/HHS), run risk models, develop and maintain reports/datasets, validate data pipelines, oversee vendors, support audits (RADV), mentor analysts, and drive process improvements to maximize risk scores and quality metrics.

Lead risk adjustment analytics and data submission to CMS and other regulators. Maintain and develop reporting, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and recommend process improvements to maximize risk score accuracy and quality payments while ensuring regulatory compliance.

Lead risk adjustment analytics and regulatory data submission to CMS and other entities. Run CMS and HHS risk models, develop and maintain reports, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and drive process improvements to maximize risk scores and quality metrics (HEDIS, Star Ratings). Collaborate with providers and technical teams to resolve data issues and forecast financial impacts.

Lead and optimize risk adjustment data submissions (CMS, HCCs, HEDIS), develop and maintain reporting, validate data integrity, oversee vendors, support audits (RADV), mentor analysts, and recommend process improvements to maximize risk scores and quality payments.

Lead and manage HR Business Partner and HR Specialist teams to align HR initiatives with organizational goals. Provide strategic HR guidance on workforce planning, employee relations, performance management, talent development, succession planning, compliance, and organizational design. Drive data-informed process improvements, manage complex HR projects, oversee investigations, coach leaders, manage budgets, and champion culture and continuous improvement.

Lead and manage HR Business Partner and HR Specialist teams to align HR strategy with business goals. Oversee workforce planning, employee relations, talent development, performance management, compliance, HR projects, data analysis, budgeting, and continuous improvement using lean methods. Coach leaders, supervise investigations, manage hiring and performance processes, and drive cultural and retention initiatives.

Lead and manage HR Business Partners and Specialists to align HR strategy with business goals. Coach leaders on talent, performance, employee relations, organizational design, and compliance. Drive workforce planning, succession, data-driven insights, and continuous improvement using lean methods. Oversee complex HR projects, investigations, hiring, performance management, budgeting, and cross-functional partnerships to improve employee experience and retention.

Lead HR Business Partners and HR Specialists to align HR strategy with business goals. Coach leaders on workforce planning, employee relations, performance management, talent development, succession planning, and compliance. Drive HR projects, continuous improvement using lean methods, analyze HR data, oversee investigations, budgeting, and staff development.

Lead and manage HR Business Partner and HR Specialist teams to align HR strategy with business goals. Drive workforce planning, talent development, performance management, employee relations, compliance, and organizational design. Coach leaders, manage complex HR projects, analyze HR data to inform decisions, oversee investigations and dispute resolution, administer budgets, and implement process improvements using lean methods to enhance employee experience and retention.

The Senior Account Executive will manage relationships with large employer groups, lead renewals, consult on benefits, and ensure satisfaction with PacificSource services, while identifying cross-selling opportunities.

The Senior Account Executive is responsible for managing key client relationships, developing benefit programs, leading renewals, and ensuring client satisfaction while maintaining compliance with industry standards.

The Senior Account Executive manages relationships with employer groups and brokers, ensuring satisfaction, compliance, and effective implementation of benefit programs. Responsibilities include consultation, negotiation of renewals, cross-selling services, and leading client meetings, all while adhering to legal guidelines and company policies.

The Senior Account Executive secures and maintains relationships with clients, manages benefit programs, and leads account renewals, ensuring customer satisfaction and compliance with industry regulations.

Manage and grow a complex book of employer group accounts (51+ lives), lead renewals and RFP responses, consult on benefits strategy and compliance, coordinate implementations, negotiate with brokers, identify cross-sell opportunities, and serve as primary client contact. Requires frequent client meetings and travel, reporting, and vendor liaison duties.

Manage and retain relationships with large employer groups, brokers, and vendors. Lead renewals, RFP responses, and implementations; design benefit strategies (including self-funded plans), ensure compliance, present reporting, identify cross-sell opportunities, negotiate financials, and provide ongoing client support. Requires frequent client meetings and travel.